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5 Written questions

5 Matching questions

  1. Valerian root (Valeriana officinalis)
  2. Ginkgo (Ginkgo biloba)
  3. St John's Wort (Hypericum perforatum) Side Effects
  4. Ginger (Zingiber officinale)
  5. St John's Wort (Hypericum perforatum)
  1. a sleep, reduces nervousness, stress, anxiety
  2. b topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)
  3. c Uses: depression
    One of the most frequently used herbal supplements
  4. d Dementia, intermittent claudication, peripheral arterial insufficiency, sexual dysfunction
  5. e Nausea and vomiting due to pregnancy, motion sickness, post-operative or chemotherapy

5 Multiple choice questions

  1. Several cases of hepatitis and liver failure
    Watch for symptoms - abdominal pain, jaundice, dark urine
    Headaches, stomach discomfort
  2. Treatment of early colds, or topically for psoriasis, eczema and burns
  3. Clove oil
    Licorice root extract
    Evening primrose oil
    Coenzyme Q10
  4. Hypersensitivity especially in people with severe allergies or allergic to daisies, including ragweed. Do not use in patients taking immunosuppressants or with auto-immune dx, HIV, TB
  5. Sedation, euphoric, kava dermopathy (dry, flaking discolored skin), HEPATOTOXICITY

    ethanol, Parkinson's disease, CNS depressants
    Discontinue 24 hours prior to general anesthesia

5 True/False questions

  1. Ginseng (American or Asian (Panax) ginseng) Side Effectspotential effects on coagulation, do not use in patients taking anti-coagulants, MAO-Is, antipsychotics and hypoglycemics. Not recommended in pregnancy. Risk of serotonin syndrome.

    Discontinue 7 days before general anesthesia


  2. Herds Important to Dental Surgery: SedativesDiscontinue before anesthesia:
    Clove oil
    Passion Flower
    Valerian Root


  3. Licorice root extractMay reduce growth of canker sores


  4. Clove Oil Side EffectsSmall ulcers when applied to gums; in large doses or if injected can cause liver failure, CNS and respiratory depression (lethal dose = 3.8 g/kg)


  5. Licorice root extract Side EffectsHeadache, muscle weakness, water retention, electrolyte imbalance, arrhythmias, heart failure

    Limit use to no more than 6 weeks.


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